Document Detail


Breech presentation: a retrospective analysis of 12-years' experience at a single center.
MedLine Citation:
PMID:  19412751     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate neonatal outcome after breech presentation in term pregnancies. STUDY DESIGN: Data from 1345 term breech deliveries over a 12-year study period were retrospectively reviewed. Neonatal morbidity and mortality were compared by route of delivery. RESULTS: We investigated 1345 term breech deliveries. A total of 1041 patients (77.4%) attempted a vaginal delivery; of these, 808 (60.1%) were delivered vaginally and 233 patients (17.3%) who failed at vaginal birth underwent cesarean section. The other 304 women (22.6%) were delivered by a planned cesarean section. No statistical differences were found in the incidence of low 5-minute Apgar scores and arterial cord blood pH values<or=7. Admission to neonatal units was higher after vaginal delivery than after elective cesarean section (55.0% vs. 20.0%). The difference between vaginal delivery and cesarean section in the rate of severe plexus injuries was statistically significant (P=0.0025). Two neonatal deaths occurred at term after a trial of labor. No perinatal death of a term breech infant occurred in the cesarean section group. CONCLUSION: The increased risk of birth trauma and admission to a neonatal intensive care unit after vaginal delivery emphasizes the advantages of a planned cesarean section for a breech presentation.
Authors:
Mariella Mailàth-Pokorny; Oliver Preyer; Christian Dadak; Andreas Lischka; Martina Mittlböck; Peter Wagenbichler; Thomas Laml
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Wiener klinische Wochenschrift     Volume:  121     ISSN:  0043-5325     ISO Abbreviation:  Wien. Klin. Wochenschr.     Publication Date:  2009  
Date Detail:
Created Date:  2009-05-04     Completed Date:  2009-06-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  21620870R     Medline TA:  Wien Klin Wochenschr     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  209-15     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Division of Obstetrics and Feto-maternal Medicine, University of Vienna Medical School, and Hospital Goettlicher Heiland, Vienna, Austria. mariella.mailath-pokorny@meduniwien.ac.at
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Austria / epidemiology
Breech Presentation / mortality*
Delivery, Obstetric / mortality*
Female
Humans
Incidence
Infant Mortality / trends*
Infant, Newborn
Infant, Newborn, Diseases / mortality*
Longitudinal Studies
Male
Middle Aged
Pregnancy
Retrospective Studies
Risk Assessment
Risk Factors
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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